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HomeMy WebLinkAboutRMCAT - INSURANCE CERTIFICATE (5)ACORDm CERTIF CATSb#IjAM 14§ PRANCE"„ DATE(MM/DD/YY) 04/01/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk Services, Inc. of Michigan ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3000 Town Center Suite 3000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Southfield MI 48075 Southfield ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY Pi nnacol Assurance company a PHONE. (866) 283-7122 FAX_ (847) 953-5390 Ae INSURED COMPANY American Home Assurance Co. a RMCAT Environmental Services, Inc. B z 4975 Paris Street Denver Co 80239 USA co CANY American International Specialty Lines a COMPANY Insurance Company of the State of PA D <4 &I 3=sir+;: ��`. ?g>F3$R3x z �.. .<,✓SlFn'�,. .e: .. .,ail" e-; „r AJ, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTTVE POLICY EXPIRATION LIMITS DATE(MM/DD(YY) DATE(MM/DD/YY) m B GENERALLUABILITY GL9333129 04/01/04 04/01/05 GENERAL AGGREGATE $2,000,005 o, General Liability W PRODUCTS - COMP/OP AGG $2,000,000 X COMMERCIAL GENERAL LIABILITY ry CLAIMS MADEFx OCCUR m PERSONAL &ADV INJURY S1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S1,000,000 FIRE DAMAGE(Any one fire) S100,000 C MED EXP (Any one Person) S5,000 Z u B AUTOMOBILE LIABILITY CA8261690 04/01/04 04/01/05 .+ X ANY AUTO Auto Liability COMBINED SINGLE LIMIT $1, 000, 000 t� •01 ALL OWNED AUTOS U BODILY INJURY SCHEDULED AUTOS ( Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS - (Per accident) X camp Ded S1,000 PROPERTY DAMAGE Collision Ixd $1, 000 GARAGE LUIBIIJTY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGAT D EXCESS LIABILITY 4303-3894 04/01/04 04/01/05 EACH OCCURRENCE S101000100C UMBRELLA FORM Umbrella Policy AGGREGATE S101000100 OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND 4051232 12/14/03 12/14/04 WC ORYLIMSTATUS- OTH- T RY LIMB rR EMPLOYERS' LIABILITY EL EACH ACCIDENT THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL EL DISEASE -POLICY LIMIT S500,000 OFFICERS ARE: I JEXCL EL DISEASE -EA EMPLOYEE S500,000 C CPL3779857 04/01/04 04/01/05 Aggregate Limit 515,000,000 Contractors Pollution Liabili X Pollutn/env Imp DREES:CRIPOF OAjQWTG&RH&PECIAL ITEMS 55 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL u ATTN: 3AMES O'NEIL II CPPO FNIGP 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, its 215 NORTH MASON STREET 1. P.O. BOX 580 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY FORTH COLLINS CO 80522-0580 USA OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE � ����